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About IBD - How To Stay Active With IBD Featuring Sean Lochran
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How To Stay Active With IBD Featuring Sean Lochran

About IBD

10/07/25

37m

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Sean Lochran, who lives with IBD and an ileostomy, describes his IBD journey, including complications such as blood clots and adrenal insufficiency. Sean shares advice for staying active on difficult days, including the importance of personalization, hydration, and tracking health data. He debunks misconceptions about exercise with IBD or an ostomy and describes his client-centered approach to fitness coaching, grounded in empathy and lived experience.

Episode transcript and more information at: https://bit.ly/AIBD187

This episode sponsored by Fathom Care! Fathom is an AI-powered wellness companion made for patients with inflammatory bowel disease. Over 2.4M people in the United States are navigating IBD alone, and Fathom is here to change that. Learn more at: https://fathom.care/

Chapters in this episode:

  • 00:04 – Introduction and Guest Welcome
  • 01:20 – Sean's Diagnosis Journey
  • 02:59 – Complications: Adrenal Insufficiency and Prednisone
  • 04:08 – Living with Adrenal Insufficiency
  • 05:34 – Blood Clots and IBD
  • 08:36 – Mental Impact of Complications
  • 10:20 – Pre-Diagnosis Fitness and Lifestyle
  • 12:29 – Managing Fatigue and Flare-Ups
  • 14:23 – Sponsor Message: Fathom Care App
  • 16:15 – Coaching Clients: Fatigue vs. Tiredness
  • 17:32 – Tracking and Adjusting Fitness Plans
  • 18:55 – Practical Tips for Staying Active During Flares
  • 23:47 – Weekly Averages and Progress Tracking
  • 25:21 – Misconceptions About Fitness and IBD
  • 26:50 – What It's Like to Work with Sean
  • 30:38 – Learning to Understand Your Body
  • 31:45 – Visiting Scotland: Local Recommendations
  • 34:27 – How to Connect with Sean
  • 36:04 – Closing Remarks and Credits

Find Sean Lochran at:

Find Amber J Tresca at:

Find Mac Cooney (mix, sound design, and theme music) at:

These show notes contain affiliate links. If you choose to purchase after clicking a link, Mal and Tal Enterprises, LLC may receive a commission at no extra cost to you.

Previous Episode

Every person living with inflammatory bowel disease (IBD) can help change public policy by sharing their story and participating in advocacy events, such as visiting legislators in Washington, D.C. Amber talks to Kelly E. Dwyer, who teaches us how to prepare an elevator speech and gives us practical tips for Hill Day logistics, working within teams, staying emotionally resilient, and following up with staffers. Advocacy is for everyone, and persistence and collaboration can lead to real policy changes to benefit the IBD and chronic illness communities. By the end of the episode, you'll have the real resources you can use to do this work as a patient advocate both locally and nationally. This episode is sponsored by Connecting to Cure. Transcript and more information: https://bit.ly/AIBD186 Chapters:
  • 00:05 Introduction and Guest Background
  • 01:23 The Role and Nature of Patient Advocacy
  • 02:37 The Long Game of Advocacy: Successes and Challenges
  • 04:37 Advocacy vs. Activism and Personal Motivation
  • 06:05 The Importance of Patient Stories in Advocacy
  • 06:52 Crafting and Delivering Your Elevator Speech
  • 11:46 Managing Emotions and Practicing Your Story
  • 15:42 Preparing for Advocacy Day: Research and Teamwork
  • 18:07 Training and Building Confidence for Hill Visits
  • 20:58 Coordinating with Your Advocacy Team
  • 22:38 Practical Logistics: What to Wear and Security
  • 24:42 Navigating Capitol Hill: Accessibility and Facilities
  • 29:26 Managing the Day: Scheduling and Flexibility
  • 32:17 During the Meeting: Structure and Communication
  • 36:04 Group Dynamics and Respectful Storytelling
  • 40:29 Building Relationships and Following Up
  • 42:12 How to Get Involved with Advocacy Groups
  • 44:42 Financial Considerations and Accessibility
  • 45:17 Encouragement and Closing Thoughts on Advocacy
  • 47:12 Lessons Learned the Hard Way
  • 50:33 Closing Remarks and Gratitude
  • 51:22 Outro and Credits
Topics on this episode:
  • Overview of inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis.
  • Personal experiences of living with IBD and the impact on daily life.
  • The role of patient advocacy in improving healthcare policies and patient rights.
  • Challenges faced by patients regarding insurance barriers and treatment access.
  • Importance of sharing personal stories with legislators to influence policy change.
  • Distinction between activism and advocacy in the context of healthcare.
  • Strategies for effective communication and preparation for advocacy efforts.
  • The significance of teamwork and collaboration in advocacy initiatives.
  • Resources and organizations that support IBD advocacy and patient education.
  • Emotional aspects of sharing health experiences and the importance of building relationships with legislative staff.
Find Kelly E. Dwyer at: Find Amber J Tresca at: Find Mac Cooney (mix, sound design, and theme music) at: These show notes may contain affiliate links. If you choose to purchase after clicking a link, Mal and Tal Enterprises, LLC may receive a commission at no extra cost to you.

Next Episode

Amber and Mariah discuss how women with chronic illnesses cope with advice on medication use in pregnancy—especially in light of the confusion around acetaminophen. Mariah shares her experiences with rheumatoid arthritis and pregnancy, focusing on changes in medication safety data. They talk about the pressure, stigma, and lack of support for pregnant women, the need for nuanced guidance, and provide resources.

Episode transcript and more information at: https://bit.ly/AIBD188

This episode sponsored by Fathom Care! Fathom is an AI-powered wellness companion made for patients with inflammatory bowel disease. Over 2.4M people in the United States are navigating IBD alone, and Fathom is here to change that. Learn more at: https://fathom.care/

Chapters:

  • 00:04 Intro & Guest Introduction
  • 01:26 FDA Statement on Acetaminophen & Pregnancy
  • 02:55 Concerns About Acetaminophen Guidance
  • 04:03 Mariah's RA & Pregnancy Experience
  • 07:13 Impact of Medication Decisions
  • 07:33 Biologics & Medication Safety
  • 09:45 Pressure to Avoid Medications
  • 10:05 Balancing Risks: Medication vs. Flare
  • 12:06 Stigma & Judgment Around Medication Use
  • 13:19 Authority Statements & Social Stigma
  • 15:10 "Tough It Out" Mentality
  • 17:11 Societal Judgment & Pregnancy Experiences
  • 17:53 Infusion Appointments While Pregnant
  • 19:09 Sponsor: Fathom Care App
  • 20:59 History of Blaming Mothers & Autism
  • 22:17 Societal Support & Pregnancy Discrimination
  • 24:04 Expectations vs. Realities of Pregnancy
  • 25:58 Reframing Autism & Neurodiversity
  • 28:15 Resources for Pregnancy & Chronic Illness
  • 30:01 Importance of Up-to-Date Data & Planning
  • 33:20 Medication Changes & Specialist Involvement
  • 34:49 Changing Data & Continuing Education
  • 36:25 Mamas Facing Forward: Community & Support
  • 38:48 Peer Support & Parenting with Chronic Illness
  • 40:08 Mariah's Background & Expertise
  • 41:19 Personal Updates & Closing
  • 42:42 Final Thoughts & Outro

Concepts discussed on this episode:

Find Mariah Leach, JD, MS at:

Find Amber J Tresca at:

Find Mac Cooney (mix, sound design, and theme music) at:

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